SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,472.71 | $6,314.02 | not published | 0 |
| Lead capillary CPT 83655 | $106.15 | $193.00 | $11.87 – $25.86 | 9 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $385.23 | $700.41 | not published | 0 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $292.95 – $501.90 | 6 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,488.99 | $9,979.99 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,651.86 – $7,115.26 | 9 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,765.10 – $7,115.26 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,204.49 – $7,115.26 | 9 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,782.21 – $7,115.26 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,056.72 – $7,115.26 | 9 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.75 – $1.75 | 1 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.16 – $1.16 | 1 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.75 – $1.75 | 1 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,438.84 – $2,465.08 | 6 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,245.77 – $2,134.30 | 6 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,001.24 – $1,715.35 | 6 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,303.94 – $2,233.97 | 6 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.65 – $42.83 | 9 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $40.92 – $89.18 | 9 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,345.22 – $2,304.70 | 6 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,378.52 – $3,795.09 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $950.40 | $1,728.00 | $188.93 – $461.13 | 8 |
| Leishmania antibody CPT 86717 | not published | not published | $12.00 – $26.16 | 9 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $729.05 – $3,886.00 | 9 |
| Lengthening of palate CPT 42227 | not published | not published | $1,024.34 – $7,115.26 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,092.06 – $6,107.27 | 9 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,452.99 – $8,721.52 | 9 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $620.57 – $7,485.97 | 9 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $792.63 – $7,485.97 | 9 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,073.78 – $3,928.00 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,287.93 – $15,431.29 | 9 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,074.77 – $7,485.97 | 9 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,218.54 – $13,245.19 | 9 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,370.62 – $7,485.97 | 9 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $402.64 | $732.08 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $469.63 | $853.87 | $136.09 – $136.09 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $136.09 – $136.09 | 1 |
| Lepirudin HCPCS J1945 | not published | not published | $0.02 – $245.95 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $5.97 – $8.49 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $84.10 – $204.77 | 9 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.18 – $17.97 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $157.14 – $327.31 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,666.78 – $3,209.75 | 8 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.02 – $0.02 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $108.36 – $108.36 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $235.28 – $1,310.87 | 8 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $41.22 – $146.39 | 8 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.51 – $0.65 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.17 – $0.19 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.04 – $0.28 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $62.70 | $114.00 | $12.98 – $28.30 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $2.56 – $22.69 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $12.75 – $16.56 | 2 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $3,262.60 | $5,932.00 | $334.84 – $7,906.00 | 9 |
| Liberta rc ipg HCPCS C1820 | $47,587.08 | $86,521.97 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $159.50 | $290.00 | $14.40 – $31.38 | 9 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $169.65 – $290.66 | 6 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $63.16 – $108.23 | 6 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $32.68 – $55.96 | 6 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $484.76 – $830.51 | 6 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,882.83 – $4,737.00 | 6 |
| Ligate leg veins open CPT 37761 | not published | not published | $695.06 – $3,795.09 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $769.88 – $3,795.09 | 9 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $93.88 – $3,148.00 | 6 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,903.99 – $3,148.00 | 6 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $599.35 – $3,795.09 | 9 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $546.74 – $3,795.09 | 9 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $438.34 – $3,890.82 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $255.94 – $2,544.00 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,626.66 – $3,148.00 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $311.24 – $3,795.09 | 9 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $903.63 – $3,795.09 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $994.57 – $3,795.09 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $908.05 – $3,795.09 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,379.11 – $3,148.00 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | $990.00 | $1,800.00 | $475.40 – $3,148.00 | 6 |
| Ligation major artery neck CPT 37615 | $5,465.90 | $9,938.00 | $623.87 – $3,795.09 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $694.23 – $3,795.09 | 9 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,675.53 – $6,688.16 | 9 |
| Ligation of femoral vein CPT 37650 | not published | not published | $582.97 – $3,795.09 | 9 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,889.00 – $6,688.16 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $608.09 – $3,795.09 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $252.31 – $4,866.00 | 9 |
| Ligation of shunt CPT 49428 | not published | not published | $657.93 – $3,148.00 | 6 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,007.12 – $3,795.09 | 9 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $328.35 – $3,795.09 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | $4,070.00 | $7,400.00 | $472.01 – $3,795.09 | 9 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $738.42 – $3,795.09 | 9 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $2,003.22 – $2,003.22 | 1 |
| Limb exercise test CPT 95875 | $1,861.20 | $3,384.00 | $72.45 – $154.66 | 6 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $270.18 – $3,886.00 | 5 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $38.26 – $65.56 | 6 |
| Limited autopsy CPT 88036 | not published | not published | $3.54 – $185.14 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $3.15 – $164.25 | 4 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $99.71 – $170.82 | 6 |
| Limited visual field xm CPT 92081 | not published | not published | $20.60 – $70.91 | 6 |
| Lincomycin injection HCPCS J2010 | not published | not published | $8.34 – $12.06 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.61 – $41.71 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.